{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T01:02:29Z","timestamp":1784682149864,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:00:00Z","timestamp":1760313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:00:00Z","timestamp":1760313600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The treatment of aortic dissections of iatrogenic etiology still requires evaluation on a case\u2010by\u2010case basis, as the prevalence of these problems in the past was low, but has grown in recent years due to the exponential increase in hemodynamic procedures. Patients undergoing percutaneous hemodynamic procedures today are often elderly and also frail. Proposing \u201cconventional\u201d surgery to treat an acute aortic dissection may represent a request for \u201csurgical stress\u201d that is too high for their \u201cbiological reserves.\u201d In addition to this, we assume that the physio\u2010pathological mechanism that creates this type of dissection with a flap in the intima, compared to that of classic noniatrogenic dissections, is different in the angle of entry of the flap with formation of the false lumen, which has a consequent greater tendency to spontaneous \u201cself\u2010resolution\u201d favored by physiological blood flow. In this paper, we present two cases of patients who underwent hemodynamic procedures (coronary angiography with angioplasty and transcatheter aortic valve implantation) both with limited iatrogenic dissection of the ascending aorta treated in a conservative nonsurgical manner. This approach resulted in the closure of the dissection line in both cases, demonstrating in one case the disappearance of the flap even at a 6\u2010month follow\u2010up.<\/jats:p>","DOI":"10.1002\/ccd.70262","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T01:27:30Z","timestamp":1760405250000},"page":"3736-3741","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Limited Iatrogenic Dissection of the Aortic Root: To Treat or Not to Treat?"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9395-744X","authenticated-orcid":false,"given":"Valeria","family":"Cosco","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery Citt\u00e0 di Lecce Hospital, GVM Care &amp; Research Lecce Italy"},{"name":"Project Cod PNRR\u2010POC\u20102022\u201012376704, Call NextGenerationEU PNRR 2022. \u201cA New Portable Device for PRE\u2010Hospital Non\u2010Invasive VENTilatory Support in Acute Respiratory Failure (PREVENT)\u201d Lecce Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0566-0643","authenticated-orcid":false,"given":"Giuseppe","family":"Grenci","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine \u201cMagna Graecia\u201d University Catanzaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2842-4350","authenticated-orcid":false,"given":"Alessandro","family":"Fiorentino","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Citt\u00e0 di Lecce Hospital, GVM Care &amp; Research Lecce Italy"},{"name":"PhD Technical Sciences and Health Professions Applied to Public Health \u201cMagna Graecia\u201d University Catanzaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4913-9834","authenticated-orcid":false,"given":"Giuseppe","family":"Santarpino","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Citt\u00e0 di Lecce Hospital, GVM Care &amp; Research Lecce Italy"},{"name":"Department of Clinical and Experimental Medicine \u201cMagna Graecia\u201d University Catanzaro Italy"},{"name":"Department of Cardiac Surgery Paracelsus Medical University Nuremberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12247630"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1756670"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.10.021"},{"key":"e_1_2_10_5_1","first-page":"14","article-title":"Iatrogenic Aortic Dissection of the Descending Aorta After Percutaneous Coronary Intervention","volume":"29","author":"Westenfield K.","year":"2022","journal-title":"British Journal of Cardiology"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.14740\/cr537w"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/1522-726X(200012)51:4<387::AID-CCD3>3.0.CO;2-B"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(99)90165-1"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-006-9164-x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rx.2019.07.004"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.5334\/jbsr.3547"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-8090-3-49"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2018.11.012"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000037472"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0218492314531140"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytab024"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520943789"},{"issue":"11","key":"e_1_2_10_19_1","article-title":"Iatrogenic Type A Aortic Dissection Following Percutaneous Coronary Intervention","volume":"16","author":"Manan A. 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